Goe, Susan R
Goe, Susan R is an individual health care provider with primary practice located at 3 Irongate Center , Glens Falls NY 12801. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Goe, Susan R can be contacted via phone (518) 793-4409.Contact Information
Primary practice address
3 Irongate Center
Glens Falls NY 12801
Phone: (518) 793-4409
Fax: (518) 793-5886
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F3313151 | New York |
Profile Details
| NPI number | 1952390981 |
|---|---|
| LBN Legal business name | Goe, Susan R |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Jul 30th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952390981 | NPPES |
| New York | MEDICAID | 02154121 |
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